Analisis Pelaksanaan Pelayanan Antenatal di Kabupaten Tapanuli Tengah Tahun 2003

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Analisis Pelaksanaan Pelayanan Antenatal di Kabupaten Tapanuli Tengah Tahun 2003

  

Tesis

Masrip Sarumpaet

Universitas Sumatera Utara

Sekolah Pascasarjana

  

Magister Administrasi dan Kebijakan Kesehatan

2004

Abstrak

  Angka cakupan kegiatan pelayanan antenatal di Kabupaten Tapanuli Tengah lebih besar dari angka cakupan Nasional dan cakupan Propinsi, akan tetapi Angka Kematian Ibu masih tetap tinggi. Berdasarkan keadaan tersebut diduga adanya kemungkinan pengaruh mutu pelayanan antenatal terhadap terjadinya kematian ibu.

  Penelitian ini bertujuan untuk menganalisa pelaksanaan Pelayanan Antenatal pada seluruh Puskesmas di Kabupaten Tapanuli Tengah. Untuk menganalisis pelaksanaan pelayanan antenatal tersebut, telah dilakukan penelitian Kualitatif dengan pendekatan “Situation Analysis Study”di seluruh puskesmas yang berjumlah 14 dengan 30 informan yang terlibat dalam Pelaksanaan Pelayanan Antenatal, serta 140 orang ibu hamil yang mendapat pelayanan antenatal di Puskesmas. Ditemukan pelaksanaan Manajemen Puskesmas tentang pelayanan antenatal yang terdiri atas perencanaan tingkat puskesmas, lokakarya mini bulanan, supervisi dan bimbingan teknis tidak dilakukan sebagaimana yang ditetapkan dalam buku pedoman puskesmas. Mutu pelayanan belum memenuhi standar dengan nilai untuk pengetahuan petugas kesehatan 61,9%, sarana pelayanan 61,1%, Compliance Rate anamnesa 66,4%, pemeriksaan fisik 54,7%, penegakan diagnosa 55,9%, dan pengobatan/ rujukan 65,0%.

  Mutu pelaksanaan manajemen puskesmas dan mutu pelaksanaan pelayanan antenatal perlu ditingkatkan melalui penerapan Penyempurnaan Kebijakan Pelayanan Antenatal dan program pengembangan jaminan mutu pelayanan kesehatan dasar untuk program Pelayanan Antenatal sehingga mutu pelayanan terjamin dan angka kematian ibu akan dapat diturunkan.

  Kata Kunci : Pelayanan Antenatal, Mutu Pelayanan Daftar bacaan: 41 (1980 - 2004)

An Analysis of Antenatal Care Implementation in Tapanuli Tengah District 2003

  

Thesis

Masrip Sarumpaet

North Sumatera University

Post Graduate School

  

Magister of Health Policy and Administration

Abstract

  Maternal mortality ratio remain high even though the number of antenatal care activities coverage in Tapanuli Tengah district is greater than those of national and provincial. Based on this situation, it is assumed that the quality of antenatal care could have influenced the incident of maternal mortality.

  The aim of this study is to analyse the implementation of antenatal care at all public health centers in Tapanuli Tengah district. A qualitative method with Situation Analysis Study approach was conducted at 14 public health centers with 30 informants involved in the implementation of antenatal care and 140 pregnant mothers receiving the antenatal care at these public health centers (Puskesmas).

  It was found that the implementation of Puskesmas management on the antenatal care consisting of the planning on the puskesmas level, monthly mini workshop, supervision and technical guidance was not implemented as stated in the Puskesmas manual. The quality of antenatal care did not meet the standard with the scores of 61.9% for health officers’ knowledge, 61.1% service facilities, 66.4% for anamnese compliance rate, 54.7% for physical diagnostic, 55.9% diagnose, and 65.0% for therapy/referral.

  It was suggested that the quality of the implementation of Puskesmas management and the antenatal care should be improved by improving the Policy of Antenatal Care and the development program of basic health service quality assurance for the Antenatal Care program that the quality of service can be guaranteed and the rate of maternal mortality can be decreased.

  Key words : Antenatal Care, Quality of Service Bibliography : 41 (1980 - 2004)

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